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INTEGRIS HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access operations, including scheduling, registration, and insurance verification, while ensuring compliance with healthcare regulations and policies. Proficient in managing patient accounts, resolving complex issues, and training staff to enhance operational efficiency.
Highest-signal resume keywords
Patient Access OperationsScheduling And RegistrationInsurance VerificationHealthcare ComplianceMedical Terminology
About the role
Key responsibilities & impact- Provide patient access services for ancillary, diagnostic, surgical, and emergency services
- Liaise between INTEGRIS, patients, providers, and payers regarding pre-care account resolution
- Perform complex registration, scheduling, demographic verification, point-of-service payments, consent collection, document imaging, and documentation
- Verify coverage eligibility and insurance, calculate patient portions, and process authorization requirements
- Adjust service area schedules and accommodate special requests
- Handle inbound calls and resolve patient, provider, and payer concerns
- Collect patient payments and ensure financial clearance
- Document patient account activities, authorization, and liability requirements
- Respond to inquiries about pre-care services, policies, coverage, benefits, and financial liability
- Resolve complex access and account issues; provide reimbursement guidance and serve as a systems expert
- Train and guide staff, monitor assignments, and assess productivity
- Coordinate process improvement and continuous quality improvement initiatives
- Establish goals, track progress, and prepare data for presentation
- Maintain compliance with performance standards, regulations, policies, procedures, guidelines, and contracts
- Perform filing, data entry, and other assigned duties
Requirements
What you’ll need- 4 years of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)
- Previous experience in scheduling, registration, insurance, billing, collections, or customer service in a hospital or physician's office setting
- Bachelor's degree in a related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
- Previous experience with Microsoft Office programs and admission/discharge/transfer or billing/claims management software
- Previous experience with medical terminology, basic ICD-10 and CPT coding, healthcare program reimbursement, and methodologies
- Previous experience in 3+ of scheduling, registration, insurance (including Medicare, Medicaid, and third-party regulations), billing, collections, and customer service in a hospital or physician's office setting
- Compliance with EMTALA, HIPAA, federal and state regulations, policies, procedures, guidelines, and third-party contracts
Benefits
Comp & perks- Front-loaded PTO
- Medical benefits through the extensive INTEGRIS Health network
- Financial assistance for continued education
- 24/7 mental health support
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10 CodingCPT CodingBilling And CollectionsData EntryDocument ImagingAuthorization ProcessingPoint-Of-Service PaymentsDemographic VerificationFinancial ClearanceProcess Improvement
Soft Skills
Customer ServiceProblem SolvingCommunicationTraining And MentoringTeam Collaboration
Tools & Technologies
Microsoft OfficeBilling/Claims Management SoftwareAdmission/Discharge/Transfer Software
Certifications & Qualifications
AAHAM CRCSHFMA CRCRNAHAM CHAA
Industry Keywords
EMTALAHIPAAMedicareMedicaidHealthcare ReimbursementPatient Account ActivitiesThird-Party RegulationsPerformance StandardsQuality Improvement InitiativesHealthcare Policies